<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Box_no')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-box_no" class="form-control form-control" name="row[box_no]" type="text" value="{$row.box_no}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Status')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-status" class="form-control form-control" name="row[status]" type="number" value="{$row.status}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Camp_on_admin_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-camp_on_admin_id" data-rule="required" data-source="camp/on/admin/index" class="form-control selectpage form-control" name="row[camp_on_admin_id]" type="text" value="{$row.camp_on_admin_id}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Camp_on_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-camp_on_time" class="form-control datetimepicker form-control" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[camp_on_time]" type="text" value="{$row.camp_on_time|datetime}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
